box over his head, as the new doctor. Release United States The film had its United States premiere at Fantastic Fest in Austin, Texas, on 22 September 2011. The film's distributor, IFC Films, gave audience members complimentary barf bags at the screening, and stationed an ambulance outside the theater as a gimmick. However, one audience member became so physically ill during the premiere that paramedics had to assist her. The film began a limited theatrical release in the United States on 7 October 2011. It was released unrated and only had midnight showings. The film was released in an "unrated director's cut" on DVD and Blu-ray on 14 February 2012; the film runs a total 91 minutes. A full-color version of the film was released for the first time in the United States on 27 October 2015, exclusively on The Human Centipede: The Complete Sequence Blu-ray set. In April 2016, a Tennessee high school teacher was suspended after the film was played during class. Tom Six responded by tweeting "It should be mandatory to watch THC2 in school classes...It deals with a character that is bullied and what to do!" Six also said that he would be giving the teacher an autographed copy of the film. Censorship United Kingdom In June 2011, the British Board of Film Classification (BBFC) refused to classify The Human Centipede 2 (Full Sequence) for a direct-to-video release, effectively meaning that the film could not legally be supplied in any format in the UK. The BBFC had given the preceding First Sequence title an 18 certificate. The Board stated that they had considered First Sequence to be "undoubtedly tasteless and disgusting", but deemed it acceptable for release because the "centipede" was the product of a "revolting medical experiment". By contrast, the BBFC report on Full Sequence stated that the film's content was too extreme for an 18 certificate and was "sexually violent, and potentially obscene". The board members felt that the centipede of Full Sequence existed purely as "the object of the protagonist's depraved sexual fantasy". They criticised the film for making "little attempt to portray any of the victims in the film as anything other than objects to be brutalised and degraded for the amusement and sexual arousal of the main character and for the pleasure of the viewer," and stated their opinion that the film was potentially in breach of the Obscene Publications Act.